Nancy Carrillo

Work History

Dental Insurance Coordinator

George H. Johnson,Jr., D.D.S.,F.A.G.D.

League City

01.2025 - Current

Coordinated patient insurance verification and eligibility for dental services.
Managed patient accounts and processed insurance claims efficiently.
Communicated with insurance providers to resolve claim discrepancies.
Educated patients on insurance coverage and payment options clearly.
Assisted in scheduling appointments based on insurance requirements effectively.
Handled sensitive patient information in compliance with privacy regulations diligently.
Verified patient insurance coverage and eligibility for dental services.
Updated patient records when necessary due to changes in coverage or benefit levels.
Maintained relationships with third party payers in order to obtain timely payment on submitted claims.
Reviewed the accuracy of data entered into a variety of computer systems and databases.
Assisted patients in understanding their benefits packages, including co-payments, deductibles.
Responded promptly to inquiries from patients, providers, and insurers regarding claim status.
Processed requests for pre-authorization of treatments from providers on behalf of patients.
Tracked overdue payments from insurance companies to ensure prompt reimbursement.
Provided technical assistance to staff members regarding insurance filing procedures.
Informed patients of claims status after filing insurance claims.
Secured pre-authorizations and pre-certifications for minor surgical procedures performed in office settings.
Complied with insurance regulations dictated by local, state and federal agencies.
Coordinated communication between insurance providers and patients to ensure clear understanding of coverage.
Verified patients' insurance eligibility and benefits prior to appointments and procedures.
Advised patients on alternative financing options when necessary, including payment plans and charity care.
Negotiated with insurance companies to obtain the best possible coverage for patient treatments.
Maintained accurate and up-to-date patient insurance records in compliance with HIPAA regulations.
Collaborated with healthcare providers to determine the necessity of procedures and their coverage.
Utilized insurance billing software to submit claims and track their status efficiently.
Ensured timely filing of insurance claims to avoid lapses and penalties.
Monitored changes in insurance policies and communicated relevant updates to staff and patients.
Resolved insurance billing issues by liaising between patients, healthcare providers, and insurers.
Accurately input procedure codes, diagnosis codes and patient information into billing software to generate up-to-date invoices.
Expedited payments by verifying accuracy and currency of vendor information.
Processed invoice payments and recorded information in account database.
Maintained accounting ledgers by verifying and posting account transactions.
Validated insurance and advised patients of benefits and coverage.
Submitted claims to insurance companies and clearinghouses.
Collected, posted and managed patient account payments.
Submitted claims to insurance companies.
Performed insurance verification, pre-certification and pre-authorization.
Coordinated patient appointments and managed scheduling system for orthodontic treatments.
Educated patients on treatment options and answered frequently asked questions.
Assisted with insurance verification and explained coverage details to patients.
Handled incoming patient inquiries through phone calls and emails professionally.
Collaborated with dental staff to maintain a welcoming office environment for patients.
Gathered and reviewed patient records, data and health history to share with dentists for quick and accurate patient assessments, diagnoses and treatment.
Ensured that all necessary paperwork was completed accurately prior to treatment.
Contacted referring dentists to coordinate referrals for complex cases.
Responded to inquiries from patients regarding their treatment plan.
Developed effective relationships with referral sources within the community.
Handled customer complaints in a professional manner and resolved issues promptly.
Greeted patients, verified insurance information and scheduled appointments.
Prepared bills and completed insurance forms using system software.
Reviewed x-rays, photographs and other diagnostic images to assess patient needs.
Documented patient records during procedures and added notes taken to treatment chart.
Updated patient records with new data and treatment information.
Briefed patients on dental procedures and payment plans to help make informed decisions.

Summary

Overview

Work History

Dental Insurance Coordinator

Education

GED -

Skills

References

Timeline

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